Central Wyoming Neurology, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

5622A Issued in WY

Legal business name

CENTRAL WYOMING NEUROLOGY, LLC

Practice address

5820 E.2ND St.
Casper, WY 82609-4308

Phone

(307) 234-9037

Fax

(307) 234-9042

NPI assigned

Jun 30, 2006

Last updated

Dec 7, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Angelo M. Santiago, M.D.NPI 1598792483

Title

Owner

Phone

(307) 234-9037

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Angelo M Santiago, M.D.,

  • Specialist
  • Casper, WY
  • NPI 1598792483
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449446400000",
    "number": "1386672996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5820 E.2ND ST.",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826094308",
            "telephone_number": "307-234-9037",
            "fax_number": "307-234-9042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5820 E.2ND ST.",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826094308",
            "telephone_number": "307-234-9037",
            "fax_number": "307-234-9042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL WYOMING NEUROLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2015-12-07",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO",
        "authorized_official_first_name": "ANGELO",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-234-9037",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WY",
            "license": "5622A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF WY",
            "identifier": "05674001",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120297900",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Central Wyoming Eye Clinic, PC
• Central Wyoming Hospice Program
• Central Wyoming Neurosurgery LLC
• Central Wyoming Optometric Center PC
• Central Wyoming Outpatient Surgery Center, LLC (Casper Surgical Center)
• Central Wyoming Oxygen, LLC
• Central Wyoming Pathologists PC

• Specialist in Casper, WY
• Providers in Casper, WY by specialty
• Specialist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.